Heart Failure
Conditions
Keywords
Renal nervous denervation
Brief summary
The overactivity of sympathetic nervous system is worsening the hemodynamic state of heart failure patients. The present study is planned to reduce the sympathetic tone in patients with severe heart failure by renal nervous denervation.
Detailed description
The patient population consists of heart failure patients who are not responding properly to medication and biventricular pacing therapy. The inappropriate response to these therapies is evaluated by patient history (NYHA III-IV), echocardiography (EF \< 45%), 6-minute walking test (\<440m) and measurements of P-ProBNP. The patients who fulfill the inclusion criteria will undergo renal nervous denervation. The patients will be followed up with the same methods as they were recruited to the study (by patient history (NYHA III-IV), echocardiography (EF \< 45%), 6-minute walking test (\<440m) and measurements of P-ProBNP). The overall time of follow-up will be 24 months. The patients are randomised according to the waiting list principle in a manner to 1:1. The waiting time will be 6 months.
Interventions
The heart failure patients will undergo renal nervous denervation if they have not properly responded to medication and biventricular pacing therapy.
Sponsors
Study design
Eligibility
Inclusion criteria
* NYHA III-IV * ejection fraction \<45 % * 6-minute walking test under 440m
Exclusion criteria
* Unstable hemodynamic state * uncooperation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute walking test | 24 months | Composite outcome measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient history | 24 months | Composite outcome measure |
| Cardiac echocardiography | 24 months | Composite outcome measure |
| P-proBNP | 24 months | Composite outcome measure |
Countries
Finland